|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$589.25 |
$820.26 |
$1,371.00 |
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$213.20 |
$316.54 |
$601.65 |
|
|
Echocardiograpy doppler follow up/limited study
|
$89.39 |
$140.88 |
$186.98 |
|
|
Echo exam of eye
|
$48.89 |
$48.89 |
$48.89 |
|
|
Echo exam of eye
|
$67.72 |
$67.72 |
$67.72 |
|
|
Echo exam of eye
|
$84.58 |
$100.23 |
$128.46 |
|
|
Echo exam of eye thickness
|
$73.34 |
$73.34 |
$73.34 |
|
|
Echo exam of fetal heart
|
$257.21 |
$504.30 |
$843.84 |
|
|
Echo exam of fetal heart
|
$122.46 |
$240.11 |
$298.59 |
|
|
Echo exam of fetal heart
|
$136.70 |
$268.03 |
$475.59 |
|
|
Echo exam of fetal heart
|
$107.33 |
$208.64 |
$253.26 |
|
|
Echo exam uterus 76831-
|
$84.63 |
$240.11 |
$572.32 |
|
|
Echograp trans r pros study
|
$73.92 |
$182.69 |
$571.92 |
|
|
Echo guidance radiotherapy
|
$103.88 |
$371.84 |
$563.84 |
|
|
Echo guide for amniocentesis
|
$49.56 |
$146.56 |
$486.18 |
|
|
Echo guide for artery repair
|
$87.64 |
$222.39 |
$753.98 |
|
|
Echo guide for heart biopsy
|
$101.28 |
$226.46 |
$396.70 |
|
|
Echo guide for transfusion
|
$110.72 |
$251.33 |
$694.10 |
|
|
Echo guide ova aspiration
|
$48.42 |
$107.18 |
$114.24 |
|
|
Echo stress
|
$345.49 |
$482.90 |
$2,850.77 |
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$40.81 |
$40.81 |
$40.81 |
|
|
Echo tee guidance
|
$507.31 |
$721.03 |
$2,845.57 |
|
|
Echo tee probe placement image acquisition interpretation & report
|
$441.06 |
$845.89 |
$2,709.05 |
|
|
Echo transesophageal
|
$412.67 |
$577.22 |
$664.39 |
|
|
Echo transesophageal
|
$437.90 |
$606.13 |
$834.71 |
|
|
Echo transesophageal
|
$474.21 |
$482.56 |
$566.29 |
|
|
Echo transesophageal intraop
|
$404.43 |
$570.00 |
$1,276.64 |
|
|
Echo transthoracic
|
$72.82 |
$452.92 |
$2,567.32 |
|
|
Echo transthoracic
|
$41.74 |
$263.62 |
$447.71 |
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$67.53 |
$339.08 |
$589.46 |
|
|
Ecmo/ecls daily mgmt artery 33949
|
$450.97 |
$587.09 |
$1,938.65 |
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$464.47 |
$619.52 |
$1,938.65 |
|
|
Ecmo/ecls initiation artery 33947
|
$563.83 |
$671.68 |
$3,470.47 |
|
|
Ecmo/ecls initiation venous 33946
|
$405.87 |
$553.76 |
$3,470.47 |
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$160.64 |
$160.64 |
$175.01 |
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$1,863.95 |
$1,863.95 |
$2,030.64 |
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$192.87 |
$192.87 |
$210.12 |
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$192.87 |
$210.12 |
$595.92 |
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$192.87 |
$210.12 |
$4,134.77 |
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$192.87 |
$792.96 |
$4,134.77 |
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$176.39 |
$192.16 |
$2,067.39 |
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$176.39 |
$192.16 |
$2,067.39 |
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$1,331.36 |
$1,331.36 |
$1,450.42 |
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$203.45 |
$221.64 |
$2,067.39 |
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$223.86 |
$243.88 |
$2,067.39 |
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$203.45 |
$447.48 |
$2,067.39 |
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$1,597.53 |
$1,740.40 |
$2,480.71 |
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$1,597.53 |
$1,597.53 |
$1,740.40 |
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$1,863.95 |
$1,863.95 |
$2,030.64 |
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$160.64 |
$175.01 |
$2,894.42 |
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$1,597.53 |
$1,740.40 |
$2,480.71 |
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$160.64 |
$175.01 |
$2,894.42 |
|
|
E coli 0157 ag ia
|
$165.47 |
$165.47 |
$165.47 |
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$7,342.40 |
$11,960.81 |
$24,218.88 |
|
|
Eeg 41-60 minutes 95812-26
|
$113.34 |
$471.09 |
$1,430.97 |
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$52.69 |
$339.04 |
$1,049.59 |
|
|
Eeg during surgery
|
$134.27 |
$612.62 |
$1,088.86 |
|
|
Eeg monitoring/function test
|
$102.59 |
$678.07 |
$1,111.62 |
|
|
Eeg monitoring/giving drugs
|
$325.87 |
$472.07 |
$579.20 |
|
|
Eeg monitor/record/awake/drowsy 95816
|
$78.72 |
$372.08 |
$1,229.50 |
|
|
Eeg over 1 hour 95813 - 26
|
$133.31 |
$560.08 |
$1,683.06 |
|
|
Eeg/record in coma or sleep only 95822
|
$77.91 |
$436.51 |
$1,165.94 |
|
|
Eeg recording awake and asleep
|
$93.70 |
$442.86 |
$1,182.91 |
|
|
Eeg without vid 2-12hr cont mntr
|
$59.84 |
$282.84 |
$789.98 |
|
|
Eeg without vid 2-12 hr unmntr
|
$47.87 |
$231.98 |
$789.98 |
|
|
Eeg without vid ea 12-26hr cont
|
$83.78 |
$395.97 |
$1,057.67 |
|
|
Eeg without vid ea 12-26hr intmt
|
$79.04 |
$373.59 |
$1,055.09 |
|
|
Eeg wo vid 2-12hr intmt mntr
|
$55.10 |
$260.45 |
$697.54 |
|
|
Eeg wo vid ea 12-26hr unmntr
|
$71.81 |
$339.40 |
$1,055.09 |
|
|
E equine encephalitis igg
|
$8.52 |
$13.97 |
$97.21 |
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$26.39 |
$6,697.32 |
$22,534.54 |
|
|
Egd balloon dil esoph30 mm/>
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
|
|
Egd control bleeding any
|
$2,584.39 |
$2,584.39 |
$2,584.39 |
|
|
Egd dilate stricture
|
$216.19 |
$216.19 |
$2,809.96 |
|
|
Egd endo mucosal resection
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
|
|
Egd endoscopic stent place
|
$7,952.76 |
$7,952.76 |
$7,952.76 |
|
|
Egd guide wire insertion
|
$1,307.41 |
$1,307.41 |
$1,307.41 |
|
|
Egd injection varices
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,590.33 |
$2,590.33 |
$2,590.33 |
|
|
Egd lesion ablation
|
$3,709.26 |
$3,709.26 |
$3,709.26 |
|
|
Egd remove foreign body
|
$217.60 |
$217.60 |
$1,966.30 |
|
|
Egd remove lesion snare
|
$240.68 |
$240.68 |
$2,714.24 |
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$3,002.88 |
$3,002.88 |
$3,002.88 |
|
|
Egd Ultrasound exam duodenum/jejunum
|
$2,565.84 |
$2,565.84 |
$2,565.84 |
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,687.53 |
$2,687.53 |
$2,687.53 |
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,687.53 |
$2,687.53 |
$2,687.53 |
|
|
Egd varices ligation
|
$300.97 |
$300.97 |
$2,713.50 |
|
|
Egd w/thrml txmnt gerd
|
$4,988.47 |
$4,988.47 |
$4,988.47 |
|
|
Egfr gene com variants
|
$65.26 |
$221.10 |
$2,180.74 |
|
|
Ehrlicha chaffeensis amp prb
|
$24.80 |
$34.53 |
$92.07 |
|
|
EKG (Electrocardiogram)
|
$41.56 |
$41.56 |
$41.56 |
|
|
EKG (Tracing Only)
|
$36.10 |
$105.57 |
$451.14 |
|
|
Elbow arthroscopy/surgery
|
$770.20 |
$770.20 |
$770.20 |
|
|
Elbow arthroscopy/surgery
|
$828.08 |
$828.08 |
$828.08 |
|
|
Elbow X-ray (2 views, both sides)
|
$64.41 |
$97.63 |
$586.93 |
|
|
Elbow X-ray (3 or more views, both sides)
|
$69.92 |
$109.30 |
$1,108.55 |
|
|
Elect analysis of infusion pump 62367
|
$203.74 |
$203.74 |
$203.74 |
|
|
Electrd sq emblem s-icd
|
$4,202.63 |
$5,559.35 |
$12,249.75 |
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$12.37 |
$25.02 |
$144.40 |
|
|
Electrical stimulation/unattended 97014
|
$9.43 |
$18.34 |
$53.48 |
|